Individual
GIFTY AGYEMANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 HEATHER CT, ROMEOVILLE, IL 60446-4257
(630) 589-7628
Mailing address
253 HEATHER CT, ROMEOVILLE, IL 60446-4257
(630) 589-7628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041479781
IL
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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